Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $60.26 / $64.57	Facility	26	$15.85	$60.26	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $302.00	Professional		$21.88	$34.67	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.72 / $60.26	Professional	26	$8.91	$10.72	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.05 / $239.88	Professional	TC	$12.02	$19.05	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $22.91	Professional		$18.62	$18.62	$22.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $8.13 / $11.75	Professional	26	$5.37	$8.13	$11.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $38.02	Professional		$26.30	$30.90	$38.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.30 / $16.60	Professional	26	$10.47	$12.30	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $18.62 / $21.38	Professional	TC	$15.85	$18.62	$21.38
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.77 / $9.77	Professional	26	$9.33	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $93.33	Professional		$16.60	$26.30	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.23 / $19.05	Professional	26	$6.61	$10.23	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $16.98 / $79.43	Professional	TC	$9.33	$16.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $128.82	Professional		$18.62	$27.54	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $15.49	Professional	26	$7.59	$10.00	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $15.14 / $107.15	Professional	TC	$10.72	$15.14	$107.15